Organization · NPI-2

A Legacy Home Care, LLC

Assisted Living Facility · Anchorage, AK

NPI number1710528435
StatusActive
Last updated in NPPESOct 3, 2019

Details

NPI
1710528435
Entity type
Organization (NPI-2)
Legal business name
A Legacy Home Care, LLC
Organization subpart
No
Enumeration date
Oct 3, 2019
Last updated
Oct 3, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
310400000X Assisted Living Facility––Yes

Practice location

6347 Rose Hip Cir
Anchorage, AK 99507-5457

Phone 907-406-1651 · Fax 907-802-4442

Mailing address

6347 Rose Hip Cir
Anchorage, AK 99507-5457

Phone 907-406-1651

Authorized official

Baby Jeudy Dorzion
Owner
9074061651

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